| Todd A Radivan, PA-C | |
|
888 S Rancho Dr, Las Vegas, NV 89106-3810 | |
| (702) 877-8600 | |
| Not Available |
| Full Name | Todd A Radivan |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 32 Years |
| Location | 888 S Rancho Dr, Las Vegas, Nevada |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497757181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA2007 (Nevada) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA2007 (Nevada) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Centennial Hills Hospital Medical Center | Las vegas, NV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Babak Hooshmand Md Pllc | 9830439330 | 16 |
| Entity Name | American Current Care PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275714677 PECOS PAC ID: 9739260019 Enrollment ID: O20090304000266 |
| Entity Name | Babak Hooshmand MD PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588120240 PECOS PAC ID: 9830439330 Enrollment ID: O20190320000946 |
| Entity Name | Comprehensive Infectious Disease of Nevada |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275102832 PECOS PAC ID: 3375934326 Enrollment ID: O20211229001666 |
| Mailing Address | Practice Location Address |
|---|---|
| Todd A Radivan, PA-C Po Box 15645, Las Vegas, NV 89114-5645 Ph: (702) 877-8600 | Todd A Radivan, PA-C 888 S Rancho Dr, Las Vegas, NV 89106-3810 Ph: (702) 877-8600 |
Maria Bass, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9499 W Charleston, #200 Ossm, Las Vegas, NV 89117 Phone: 702-933-3600 Fax: 702-933-3601 |
Elrah F Gfeller, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 9260 W Sunset Rd Ste 200, Las Vegas, NV 89148 Phone: 702-968-3240 Fax: 702-862-8227 |
Jessica Welch, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8828 Mohawk St Ste 201, Las Vegas, NV 89139 Phone: 702-342-5390 Fax: 702-342-5399 |
Jean-pierre Petrel Ii, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4785 S Durango Dr Ste 101, Las Vegas, NV 89147 Phone: 702-901-4233 |
Mr. Adrian Joligon Martin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1701 Wellness Way Ste 200, Las Vegas, NV 89106 Phone: 702-310-9110 |
Mr. James C Somers, MS, PA-C, DFAAPA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2780 S Jones Blvd, Suite #205, Las Vegas, NV 89146 Phone: 702-217-8030 Fax: 702-537-5736 |
Monte Wilson, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2704 N Tenaya Way, Las Vegas, NV 89128 Phone: 702-243-8500 |